33D0882975 CLIA NUMBER - BEAVER RIVER HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 33D0882975
  • Facility Name: BEAVER RIVER HEALTH CENTER
  • Facility Address: 9559 MAIN ST
    BEAVER FALLS, NY
    ZIP 13305
  • Facility Phone: 315 346-6824
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. ROGER B. SHAMBO
  • NPI Number: 1114082955
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D0882975
LAB Type Community Clinic
Facility Name BEAVER RIVER HEALTH CENTER
Street 9559 MAIN ST
City BEAVER FALLS
State NY
ZIP 13305
Phone 315 346-6824
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2004
Certificate Expiration Date 3/26/2027
Facility Type Community Clinic
Lab Director DR. ROGER B. SHAMBO

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This page was last updated on: 9/29/2025